Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.20 / $132.49 / $239.05	Facility		$81.20	$132.49	$239.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.75 / $132.49 / $132.49	Professional		$116.75	$132.49	$132.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.59 / $460.91 / $460.91	Facility		$379.59	$460.91	$460.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $74.52 / $115.93	Professional		$50.00	$74.52	$115.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.37 / $136.82 / $435.03	Facility		$89.37	$136.82	$435.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $99.36 / $237.99	Professional		$86.32	$99.36	$237.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.40 / $124.21 / $216.13	Facility		$83.40	$124.21	$216.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.38 / $151.91 / $247.50	Professional		$147.38	$151.91	$247.50
United Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $79.14 / $165.61	Professional		$74.52	$79.14	$165.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $288.16 / $786.65 / $786.65	Facility		$288.16	$786.65	$786.65